<?php 
    echo $js;
    echo $css;
?>

<div style="margin:0px auto;">
    <form  style="width:950px;" class="contact_form" action="#" method="post" name="contact_form">
        <table>
            <tr>
                <td id="tdNombre"><h2><?php echo $title;?></h2></td>
                <td><span class="required_notification">* campos obligatorios</span></td>
            </tr>
            <tr>
                <td id="tdNombre"><label for="name">Password Actual:</label></td>
                <td id="tdInput"><input type="password"  placeholder="***********" required pattern=".{5,}" id="passwordActual" />
                <span class="form_hint">largo m&iacutenimo 5</span></td>
            </tr>
            <tr>
                <td id="tdNombre"><label for="name">Nueva Password:</label></td>
                <td id="tdInput"><input type="password"  placeholder="***********" required pattern=".{5,}" id="passwordNueva" />
                <span class="form_hint">largo m&iacutenimo 5</span></td>
            </tr>
            <tr>
                <td id="tdNombre"><label for="name">Reingrese nueva Password:</label></td>
                <td id="tdInput"><input type="password"  placeholder="***********" required pattern=".{5,}" id="passwordNuevaRe" />
                <span class="form_hint">largo m&iacutenimo 5</span></td>
            </tr>
            <tr>
                <td id="tdNombre"></td>
                <td id="tdInput"><button class="submit" type="submit">Cambiar</button></td>
            </tr>
        </table>
    </form>
</div>